Modular endoscope valve assembly and method

ABSTRACT

A modular endoscope valve assembly is releasably mounted on the handpiece of an endoscope. This valve assembly includes an inlet port, an outlet port, and a valve manually operable selectively to block and to allow the flow of irrigation fluid from the inlet port to the outlet port. The valve assembly is releasably held to the handpiece of the endoscope by a mechanical fastener such as a pressure-sensitive adhesive, a strap, a snap lock, or otherwise. Once the valve assembly is releasably mounted to the handpiece, the physician using the endoscope can manually control the flow of irrigation fluid, and optionally suction, with the same hand as the one that supports the handpiece, thereby leaving the other hand of the physician free for surgical procedures. The modular valve assembly of this invention can be used with the widest variety of endoscopes, including flexible, rigid and semi rigid ureteroscopes as well as various percutaneous endoscopes.

CROSS REFERENCE TO RELATED APPLICATION

This application is a continuation-in-part of co-pending U.S. patent application Ser. No. 09/761,784, filed Jan. 17, 2001, the entirety of which is hereby incorporated by reference.

BACKGROUND

The present invention relates to endoscopic surgical devices, and in particular to valve assemblies used to control the flow of irrigation fluid in such devices.

Endoscopic devices are customarily provided with an irrigation port that conducts an irrigation liquid to the viewing area at the end of the endoscopic device. One prior-art approach is to pressurize irrigation fluid in an IV fluid bag, and then to supply the pressurized irrigation fluid directly into an endoscope such as a ureteroscope. The endoscope includes integral valves that are generally operated with one hand while the other hand holds the handpiece of the endoscope. The advantage of this system is that the irrigation fluid is pressurized, thereby providing dilation of a ureter and good visibility. One potential disadvantage with this type of irrigating system is that it may be difficult to control fluid flow since two hands are required. If the fluid flow is not controlled properly, a stone can be dislodged back into the middle or upper ureter by an excessively high rate of flow. Also, in the event of extravasation, uncontrolled amounts of fluid can flow into the retroperitoneum.

Another type of irrigation system is a hand-operated, pressurized irrigating system commercially manufactured by Bard, Boston Scientific, and ACMI. This approach allows the amount of fluid being injected to be controlled, but the apparatus is relatively bulky. This system is mounted separately from the ureteroscope, and separate hands are used to hold the handpiece of the ureteroscope and to control the flow of irrigation fluid. On occasion, an assistant controls fluid flow while the physician holds the endoscope in the left hand and performs an endoscopic procedure with the right hand. In this case, precise control of the rate of fluid flow is difficult, because oral instructions are slower and less precise than direct manual control by the physician.

A third type of irrigation system includes two or more syringes that are operated by an assistant one at a time to supply pressurized irrigation fluid to the endoscopic device. Generally a valve is provided that allows the assistant to fill one of the syringes while the other is in use.

A fourth type of irrigation system includes a roller pump mechanism that delivers irrigation fluid at a constant set pressure. This system may incorporate a blow-off valve to prevent excessive pressure, and it is generally used in endoscopic specialties such as orthopedics in performing arthroscopies. This system requires the use of an electric motor and controller, and it is therefore costly and bulky.

Goodman U.S. Pat. No. 4,567,880 discloses an endoscopic device having a three-way valve forming a permanent portion of the handpiece of the endoscope. This system allows a physician to control the flow of irrigation fluid with the same hand as that used to hold the handpiece. However, the Goodman system requires a specially constructed endoscope, and the irrigation system is an integral part of the endoscope. This limits the irrigation system to use with one particular endoscope.

The present invention is directed to an improved system and method for controlling the flow of irrigation fluid in an endoscopic device.

SUMMARY

The preferred embodiment described below includes a modular valve assembly having a housing that carries an inlet port, an outlet port and a valve. The valve can be manually controlled by a user with the hand holding the endoscope to selectively allow or block fluid flow from the inlet port to the outlet port.

In use, the housing is releasably mounted to the handpiece of an endoscope by a pressure-sensitive adhesive, strap, or other fastener. The inlet port is connected to a source of pressurized irrigation fluid and the outlet port is connected to the irrigation port of the endoscope. The physician can then use a single hand to perform both the function of holding the handpiece and the function of controlling the flow of irrigation fluid. Typically, the physician holds the handpiece in the palm, using the thumb and fingers of one hand. The physician controls the flow of irrigation fluid with one finger of the hand that is holding the handpiece. This leaves the other hand free for performing a surgical procedure via the working port of the endoscope, e.g., positioning and manipulating a stone extraction basket. Once the surgical procedure is completed, the modular housing can simply be removed from the endoscope and discarded. This eliminates the need to clean the valve or the ports of the valve assembly.

The housing may be formed in one or more parts, and it may include a second valve to allow the physician to control the application of suction in addition to the flow of irrigation fluid.

This section has been provided by way of general introduction, and it should not be used to narrow the scope of the following claims.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a perspective view of a ureteroscope on which is mounted a modular valve assembly.

FIG. 2 is a top perspective view of the valve assembly of FIG. 1, prior to mounting on the ureteroscope.

FIG. 3 is a bottom perspective view of the valve assembly of FIG. 2.

FIG. 4 is a perspective view of the valve assembly of FIGS. 2 and 3 connected to a source of pressurized irrigation fluid.

FIGS. 5 and 6 are schematic views showing the valve of the valve assembly of FIGS. 1-3 in the opened and closed positions, respectively.

FIGS. 7 and 8 are schematic views of an alternative, rotary-motion valve in the opened and closed positions, respectively.

FIG. 9 is a fragmentary sectional view of another modular valve assembly of this invention mounted on a ureteroscope.

FIG. 10 is a fragmentary sectional view of yet another modular valve assembly of this invention.

FIG. 11 is a fragmentary sectional view of the ureteroscope of FIG. 10 and a cover plate.

FIG. 12 is a fragmentary sectional view of another modular valve assembly of this invention mounted on a ureteroscope.

FIG. 13 is a cross-sectional view of another modular valve assembly of this invention including a mechanical latch to hold the valve in a selected position.

FIGS. 14, 15 and 16 are three sectional views of another modular valve assembly of this invention in three different positions.

FIG. 17 is a sectional view of another modular valve assembly of this invention.

FIGS. 18, 19 and 20 are side views of three additional modular valve assemblies of this invention.

DETAILED DESCRIPTION OF THE PRESENTLY PREFERRED EMBODIMENTS

Turning now to the drawings, FIG. 1 is a perspective view of an endoscopic device 10 that in this embodiment is a ureteroscope. The ureteroscope 10 includes a handpiece 12 that carries an eyepiece 14 at one end and a shaft 16 at the other end. An irrigation port 18 is carried by the handpiece 12, and irrigation fluid introduced via the irrigation port 18 is conducted to the viewing area at the end of the shaft 16 that is inserted into the patient. The handpiece 12 also defines an exterior surface 20.

The endoscopic device 10 can take any suitable form, and the present invention is not limited to any particular embodiment. For example, the endoscopes of any of the following U.S. Patents can be adapted for use with this invention: Wallace U.S. Pat. No. 2,691,370, Ibe U.S. Pat. No. 4,132,227, Goodman U.S. Pat. No. 4,567,880, Cho U.S. Pat. No. 5,083,549, Muller U.S. Pat. No. 5,199,417, Bonati U.S. Pat. No. 5,290,279, and Odanacka U.S. Pat. No. 5,830,126. Conventional endoscopes such as the ureteroscopes manufactured by ACMI, Wolf, Olympus and Storz are also well-adapted for use with this invention. This list is intended only by way of illustration, in the widest variety of ureteroscopes, arthroscopes, laparoscopes, hysteroscopes, sinuscopes, and endoscopes adapted for other specialties can be used with this invention, including flexible, semi-rigid, and rigid endoscopes.

In use, the physician holds the handpiece with one hand, thereby presenting the eyepiece for viewing and positioning the shaft as desired. The other hand is typically used to manipulate surgical tools introduced into the patient via the working port on the shaft. As shown in FIG. 1, a modular endoscope valve assembly 30 is releasably secured to the handpiece 12. This valve assembly 30 is shown in greater detail in FIGS. 2 and 3, and it includes an inlet port 32 and an outlet port 34. In use the inlet port 32 is releasably connected to a source of pressurized irrigation fluid, and the outlet port 34 is releasably connected to the irrigation port 18 of the handpiece.

The valve assembly 30 includes a valve that is interposed between the inlet port 32 and the outlet port 34 and is controlled by a valve actuator 38. The valve assembly 30 also includes a housing 50 that includes a mounting surface 52. The mounting surface 52 carries a pressure-sensitive adhesive 40 initially covered by a release paper 46. The housing 50 also supports a pair of straps 42 that include respective hook-and-loop fasteners 44. A contrast-introduction port 48 is provided in fluid communication with the outlet port 34. Check valves, not shown, can be provided to prevent flow from the outlet port 34 to the contrast-introduction port 48 and vice-versa.

FIG. 4 shows the manner in which the inlet port 32 of the valve assembly 30 can be releasably connected to a source of pressurized irrigation fluid, in this case contained within an IV bag 60. The IV bag 60 is disposed within a pressure cuff 62 that can be inflated with an inflator 64 to a pressure indicated by a pressure gauge 66. Standard Luer-lock fittings can be used to connect the inlet port 32 to a tube 68 that is in turn connected to the IV bag 60. The IV bag contains a conventional irrigation fluid, which is pressurized by inflating the pressure cuff 62 to a desired pressure with the inflator 64.

FIGS. 5 and 6 show two schematic views of the valve 36 of the valve assembly 30. In FIG. 5 the valve actuator 38 is depressed and the valve 36 allows fluid flow from the inlet port 32 to the outlet port 34. When manual pressure is removed from the valve actuator 38, the valve 36 returns to the position of FIG. 6, in which the valve 36 blocks the flow of fluid between the inlet and the outlet ports 32, 34. Alternatively, the valve 38 may be arranged such that fluid flow is blocked when the actuator 38 is depressed and unblocked when the actuator 38 is released.

The valve 36 of FIGS. 5 and 6 is a linear valve that slides along a linear axis between the opened position of FIG. 5 and the closed position of FIG. 6. Other types of valves are suitable, including the linear valve of U.S. Pat. No. 4,238,108 and the rotary valve 80 of FIGS. 7 and 8. A rotary valve 80 rotates about an axis between the opened position of FIG. 7 and the closed position of FIG. 8, and the associated valve actuator (not shown in FIGS. 7 and 8) moves in a rotary motion as well.

In use, the valve assembly 30 is distributed separately from the endoscope 10. In this embodiment, the valve assembly 30 is shaped to fit on a wide variety of endscopes 10 such that the endoscope 10 does not have to be specially shaped or configured for the valve assembly 30. Prior to an endoscopic procedure, the release paper 46 is removed, thereby exposing the pressure-sensitive adhesive 40 on the mounting surface 52. Then the valve assembly 30 is placed on the exterior surface 20 of the endoscope 10, and the pressure-sensitive adhesive 40 releasably holds the valve assembly 30 in place. The straps 42 are positioned around the handpiece 12, and the hook-and-loop fasteners 44 are secured together to hold the valve assembly 30 in place.

Either before or after the valve assembly 30 is secured to the handpiece 12, the inlet port 32 is releasably secured to the tube 68 (FIG. 4) and the outlet port 34 is releasably secured to the irrigation port 18 of the handpiece 12 (FIG. 1). Preferably, the valve assembly 30 is flushed after it is connected to the tube 68 and before it is connected to the irrigation port 18.

The physician then performs the desired endoscopic procedure, using a single hand both to hold the handpiece 12 and to control the flow of pressurized irrigation fluid with the valve assembly 30. A part of the hand that holds the handpiece (e.g. the fingers or the heel) is used to move the valve actuator.

Once the endoscopic procedure has been completed, the valve assembly 30 can simply be removed from the endoscope 10 by releasing the hook-and-loop fasteners 44 and lifting or twisting the valve assembly 10 away from the handpiece 12 until the pressure-sensitive adhesive 40 releases.

The valve assembly 30 described above uses both a pressure-sensitive adhesive and a set of straps to releasably secure the valve assembly 30 in place on the handpiece 12. In alternative embodiments the adhesive may be used without the reinforcing straps, or the reinforcing straps can be used without the adhesive. The strap may be varied widely. For example, the strap may pass over the top of the valve assembly, and the actuator may pass through an opening in the strap. The strap may be fixed to the valve assembly or not. Also, other types of fasteners can be used to releasably hold the valve assembly in place on the endoscope.

FIG. 9 shows a second preferred embodiment 90 of the modular valve assembly of this invention. The valve assembly 90 is identical to the valve assembly 30 described above except for the manner of releasably attaching the valve assembly 90 to the handpiece 12′. In this case the valve assembly 90 is provided with mechanical fasteners 92 and the handpiece 12′ is provided with mating mechanical fasteners 94 such that the valve assembly 90 can be snapped in place on the handpiece 12′ and removed from the handpiece 12′ as desired. In this example, the fasteners 92 take the form of protruding studs and the mating fasteners 94 take the form of recesses shaped to receive the fasteners 92 in a snap-lock action.

FIG. 10 shows portions of a third valve assembly 100 which is similar to that of FIG. 9 except that the fasteners 102 are shaped as recesses and the mating fasteners 104 are shaped as protruding studs that fit into the fasteners 102 in a snap-lock manner.

FIG. 11 shows the handpiece 12″ of FIG. 10 with a cover 110 snapped in place on the mating fasteners 104. The cover 110 covers the mating fasteners 104 when a valve assembly is not in place on the handpiece 12″.

FIG. 12 shows another modular valve assembly 120 mounted in place on the handpiece 12 of an endoscopic device. The valve assembly 120 includes an actuator 122, an inlet port 124, and an outlet port 126. The valve assembly 120 is mounted on a base 130, and the base 130 supports a spring clip 128 that is designed to fit at least partially around the handpiece 12 and to releasably hold the base 130 and therefore the valve assembly 120 in position on the hand-piece 12. The spring clip 128 is another example of a mechanical fastener that is suitable for releasably securing a modular valve assembly to an endoscopic device. In this example, the outer surface of the handpiece 12 can be considered a mating fastener that cooperates with the spring clip 128 to releasably hold the valve assembly 120 in place on the endoscopic device. The details of construction of the modular valve assembly 120 can be varied widely, in accordance with any of the other valve assemblies described in this specification.

FIG. 13 provides a sectional view of another modular valve assembly 140. The modular valve assembly 140 includes a housing 142 that supports an inlet port 144 and an outlet port 146. A valve element 148 is slidably received in a cylinder defined by the housing 142, and the valve element 148 defines an annular recess 150. The annular recess 150 completely encircles the valve element 148, and thereby provides an interconnecting flow path between the inlet port 144 and the outlet port 146 when the recess 150 is aligned with the ports 144, 146. The valve element 148 is biased to the upper position shown in FIG. 13 by a spring 152. The valve assembly 140 includes an actuator 156 that can be pressed downwardly by a finger of the user. A latch 154 is interposed between the actuator 156 and the valve element 148, and the latch 154 operates to hold the valve element 148 in a selected position.

In use, the inlet port 144 is coupled to a source of irrigation fluid and the outlet port 146 is coupled to the irrigation port of an endoscopic device. In the position shown in FIG. 13, the recess 150 is out of alignment with the inlet and outlet ports 144, 146, and no irrigation fluid is passed to the outlet port 146. When the user presses the actuator 156 downwardly in the view of FIG. 13, the recess 150 comes into alignment with the inlet and outlet ports 144, 146, thereby permitting irrigation liquid to flow to the endoscopic device. Further downward movement of the actuator 156 causes the latch 154 to hold the valve element 148 in a position in which the recess 150 is aligned with the inlet and outlet ports 144, 146. Once the latch 154 is engaged, the user can take his or her hand off of the actuator 156, and high volume flow of irrigation fluid is maintained from the inlet port 144 to the outlet port 146.

In order to stop the flow of irrigation fluid, the user again depresses the actuator 156, thereby causing the latch 154 to release the valve element 148 to move upwardly, back to the position of FIG. 13.

The valve assembly 140 allows the user to modulate the flow of irrigation fluid as described above as he or she gradually depresses the actuator 156. The latch 154 also allows the user to latch the valve in the open position, until it is released by the user.

Many alternative structures can be used for the latch 154. For example, the latch 154 can be constructed like the latch mechanism conventionally used with retractable ballpoint pens. Such latch mechanisms respond to first depression of the actuator by latching the latched element down, and they respond to a next depression of the actuator by allowing the latched element to move upwardly. This is only one example, and many alternatives are possible.

FIGS. 14, 15 and 16 provide three views of another modular valve assembly 160 that can be used as described above. As best shown in FIG. 14, the modular valve assembly 160 includes a housing 162 that supports a valve element 164 for sliding movement. The valve element 164 defines two spaced, annular recesses 166, 168, and the upper end of the valve element 164 forms an actuator 170. The valve element 164 is biased to the upper position shown in FIG. 14 by a spring 178.

The housing 162 supports first and second inlet ports 172, 174 and aligned tubes 173, 175 that are connected to an outlet port 176. The first inlet port 172 in use is connected to a liquid source, such as a source of irrigation fluid. The second inlet port 174 in use is connected to a suction source, such as a partial vacuum. The outlet port 176 in use is connected to an irrigation port of an endoscopic device. Check valves, not shown, may be used to prevent flow from the tube 173 to the tube 175 and vice-versa.

In the rest position of FIG. 14, the valve element 164 isolates both the first and second inlet ports 172, 174 from the outlet port 176. This is because the first inlet port 172 is out of alignment with the first recess 166, and the second inlet port 174 is out of alignment with the second recess 168.

FIG. 15 shows the valve assembly 160 in a second position, in which the user has depressed the actuator 170, thereby compressing the spring 178 and bringing the first recess 166 into alignment with the first inlet port 172 and the tube 173. In this position, irrigation fluid from the liquid source is passed by the assembly 160 to the outlet port 176.

As shown in FIG. 16, when the actuator 170 is further depressed, the first recess 166 is moved out of alignment with the first inlet port 172, and the second recess 168 is moved into alignment with the second inlet port 174. In this position, the valve assembly 160 allows suction from the suction source to pass via the second inlet port 174 and the second tube 175 to the outlet port 176.

The modular valve assembly 160 of FIGS. 14 through 16 is intended to be removably attached to the handpiece of an endoscopic device, all as described above. Any of the mechanisms described above for releasably securing the valve assembly to the handpiece can be used. The valve assembly 160 provides all of the functions described above regarding the valving of irrigation fluid from the liquid source to the outlet port 176. In addition, the valve assembly 160 allows the physician efficiently and easily to introduce suction to the endoscopic device by moving the actuator 170 to the fully depressed position of FIG. 16. Thus, a single valve assembly controls both the introduction of irrigation fluid and the application of suction to the irrigation port of the endoscopic device.

The valve assembly 160 utilizes a linear slide valve to implement the valving functions described above. It should of course be understood that this invention is not limited to such linear slide valves, and that the widest variety of valve mechanisms can be used to perform these valving functions.

FIG. 17 shows a sectional view of another modular valve assembly 180 also intended to be releasably secured to the handpiece of an endoscopic device as described above. The modular valve assembly 180 includes a housing 182 that supports first and second valve elements 184, 185. The first valve element 184 includes a first recess 186 and a first actuator 190. The first valve element 184 is biased to the upper position shown in FIG. 17 by a spring 198. In this upper position the valve element 184 blocks the flow of liquid between a first inlet port 192 and a tube 193. As shown in FIG. 17, the tube 193 is coupled to an outlet port 196, which may in turn be coupled to an irrigation port of an endoscopic device as described above (not shown). When the first actuator 190 is depressed to bring the first recess 186 into alignment with the first inlet port 192 and the first tube 193, irrigation fluid from a liquid source (not shown) passes from the first inlet port 192 to the outlet port 196.

The second valve element 185 defines a second recess 188 and is biased to an upper position as shown in FIG. 17 by a second spring 199. The upper portion of the second valve element 185 is coupled to a second actuator 191. In this non-limiting example, the second actuator 191 is arranged so that the physician can reach it from any side of the valve assembly 180. This can be accomplished by forming the upper portion of the actuator 191 as a ring that encircles the housing 182. Alternatively, the actuator 191 may include a swivel, not shown, that allows the physician to rotate the upper portion of the actuator 191 to a desired angular position relative to the lower portion of the actuator 191 about an axis parallel to the sliding motion of the second valve element 185. In the rest position shown in FIG. 17, the second valve element 185 blocks the flow of suction from a second inlet port 194 to the tube 195 (which is in turn coupled to the outlet port 196). When the user depresses the second actuator 191 to bring the second recess 188 into alignment with the second inlet port 194 and the second tube 195, suction is applied to the outlet port 196.

The modular valve assembly 180 is provided with adhesive straps, mechanical fasteners, spring clips or the like for releasably securing it to the handpiece of an endoscopic device (not shown). The modular valve assembly 180 allows the user to control the flow of irrigation fluid and the application of suction to the outlet port 196. In this case, the user moves his or her finger between the first and second actuators 190, 191 to provide irrigation fluid or suction to the outlet port 196, respectively.

FIG. 18 shows another modular valve assembly 210 that performs all of the functions described above in conjunction with FIGS. 16 and 17. The modular valve assembly 210 includes a housing 212, 220 that supports two separate valves, each controlled by a respective actuator 214, 222. The actuator 214 controls the flow of irrigation fluid between a first inlet port 216 and an outlet port 218, and the second actuator 222 controls the introduction of suction from the second inlet port 224 to the outlet port 218. In this case the actuators 214, 222 and the associated valves are positioned in side-by-side relationship, but at differing elevations to assist the user in discriminating between the two actuators 214, 222.

The modular valve assembly 230 of FIG. 19 is similar to the valve assembly 210, except that in this case the two actuators are positioned at the same elevation.

The modular valve assembly 240 of FIG. 20 is similar to the modular valve assembly 230, but in this case the two valves are mounted some distance from one another on the handpiece 12. FIG. 20 shows the manner in which a housing may include two or more spatially separated parts.

The modular valve assemblies of FIGS. 12 through 20 are all intended to be releasably mounted to an endoscopic device and to allow the user to control the flow of at least irrigation fluid to the irrigation port of the endoscopic device. The modular valve assemblies of FIGS. 14 through 20 additionally allow the user to control the application of suction to the irrigation port. The valve assemblies of FIGS. 14 through 20 are used in the same manner as the valves described above, except that the first inlet port 172, 192, 212 is connected to a source of irrigation fluid and the second inlet port 174, 194, 224 is connected to a source of suction prior to the surgical procedure. This can be done either before or after the modular valve assembly 160, 180, 210, 230, 240 is releasably mounted to the handpiece of the endoscopic device.

It should be apparent from the foregoing description that the improved modular valve assembly of this invention provides the important advantage that little or no modification is required to a conventional endoscope, yet the physician using the endoscope is provided with improved control over the flow of irrigation fluid. In particular, the physician can use direct finger pressure to modulate the flow of irrigation fluid as desired, while still leaving one hand free for surgical procedures. In this way, the need for a trained surgical nurse is reduced, and the physician's control over irrigation fluid flow is improved. The valve assembly described above is well suited for use with a wide variety of endoscopes including modern, small endoscopes that are too small for built-in valves.

Of course, it should be understood that a wide range of changes and modifications can be made to the preferred embodiments described above. For example, the valve of the valve assembly can take any suitable form, and it is not limited to the specific examples described above. The motion used to open or close the valve 36 can be varied as appropriate for the application, and it can include a lifting motion, a depressing motion, a sliding motion parallel to the length of the handpiece, or a rotating motion as desired. As a further alternative, the valve may be implemented as an element that pinches a resilient tube to slow or block flow through the tube. Thus, the valve can be implemented as a one-piece or a multiple-piece system having sliding, hinged, rotating or other motions.

Similarly, the mechanical fasteners that releasably hold the valve assembly in place on the handpiece of the endoscope can take any suitable form, and such fasteners are not limited to the adhesives, straps, snap-lock studs, and recesses described above. Many other mechanical fasteners can be adapted for use with this invention, as for example linear or rotary guides (including, e.g., dovetail guides or bayonet sockets) and various types of resilient or bendable elements that releasably hold the valve assembly in place.

As used herein, the term “position” is intended broadly to encompass a range of positions. Thus, the valve may block fluid flow between the inlet and outlet ports in a range of blocking positions and the valve may allow fluid to flow from the inlet port to the outlet port in a range of opened positions. The valve may be configured as an on/off valve or as a modulating valve.

The term “handpiece” is intended broadly to refer to the part of an endoscope that carries the eyepiece and is held by the user, whether referred to as the handpiece, the bridge, or by some other term by the manufacturer of the endoscope.

The term “housing” is intended broadly to include one-part housings as well as housings having two or more parts that may be physically integrated with one another or spatially separated from one another.

The term “valve” is intended broadly to encompass valves having one or more moveable valve elements controlling the flow of one or more fluids.

The term “inlet port” is intended broadly to refer to a port that is connected either to a fluid source or to a suction source.

Also, any suitable structure can be used for pressurizing the irrigation liquid, including simple gravity feeds in some examples.

The foregoing detailed description has discussed only a few of the many forms that this invention can take. This detailed description is therefore intended by way of illustration and not by way of limitation. It is only the following claims, including all equivalents, that are intended to define the scope of this invention. 

What is claimed is:
 1. A medical endoscope with a releasably mounted modular endoscope valve assembly comprising: a medical endoscope comprising an exterior surface and an irrigation port; and a modular endoscope valve assembly releasably mounted to the exterior surface of the endoscope, the modular endoscope valve assembly comprising: a housing comprising an inlet port, an outlet port, and a mounting surface, wherein the outlet port is releasably connected to the irrigation port of the endoscope; a valve carried by the housing and coupled between the inlet port and the outlet port, the valve comprising a manually-controlled actuator movable by a user between a first position, in which the valve blocks flow between the inlet port and the outlet port, and a second position, in which the valve allows flow between the inlet port and the outlet port; and a pressure-sensitive adhesive carried by the mounting surface, wherein the mounting surface of the housing is releasably held in place on the exterior surface by the adhesive.
 2. The invention of claim 1 wherein the endoscope comprises a ureteroscope.
 3. A medical endoscope with a releasably mounted modular endoscope valve assembly comprising: a medical endoscope comprising an exterior surface and an irrigation port; and a modular endoscope valve assembly releasably mounted to the exterior surface of the endoscope, the modular endoscope valve assembly comprising: a housing comprising an inlet port, an outlet port, and a mounting surface, wherein the outlet port is releasably connected to the irrigation port of the endoscope; a valve carried by the housing and coupled between the inlet port and the outlet port, the valve comprising a manually-controlled actuator movable by a user between a first position, in which the valve blocks flow between the inlet port and the outlet port, and a second position, in which the valve allows flow between the inlet port and the outlet port; and a strap carried by the housing, wherein the mounting surface of the housing is releasably held in place on the exterior surface by the strap.
 4. The invention of claim 3 wherein the endoscope comprises a ureteroscope.
 5. A medical endoscope with a releasably mounted modular endoscope valve assembly comprising: a medical endoscope comprising an exterior surface and an irrigation port; and a modular endoscope valve assembly releasably mounted to the exterior surface of the endoscope, the modular endoscope valve assembly comprising: a housing comprising an inlet port, an outlet port, and a mounting surface, wherein the outlet port is releasably connected to the irrigation port of the endoscope; a valve carried by the housing and coupled between the inlet port and the outlet port, the valve comprising a manually-controlled actuator movable by a user between a first position, in which the valve blocks flow between the inlet port and the outlet port, and a second position, in which the valve allows flow between the inlet port and the outlet port; and a mechanical fastener carried by the mounting surface, the mechanical fastener releasably engaged with a mating fastener on the endoscope.
 6. The invention of claim 1 or 5 further comprising a strap carried by the housing and operative to releasably secure the housing to the endoscope.
 7. The invention of claim 5 wherein the endoscope comprises a ureteroscope.
 8. The invention of claim 5 wherein the mechanical fastener comprises a spring clip, and wherein the mating fastener comprises a surface of the endoscope shaped to engage the spring clip.
 9. The invention of claim 1, 3 or 5 wherein the actuator is mounted to slide linearly between the first and second positions.
 10. The invention of claim 1, 3 or 5 wherein the actuator is mounted to rotate between the first and second positions.
 11. The invention of claim 1, 3 or 5 wherein the outlet port comprises a contrast-introduction port.
 12. The invention of claim 1, 3 or 5 further comprising a latch coupled with the valve and operative to releasably hold the valve in a selected state in response to a control input by the user.
 13. The invention of claim 12 wherein the latch is coupled to the actuator and operative to hold the valve in a state that allows flow between the inlet port and the outlet port in response to user manipulation of the actuator.
 14. The invention of claim 1, 3 or 5, wherein the inlet port comprises a first inlet port, wherein the housing further comprises a second inlet port, wherein the valve blocks flow between the second inlet port and the outlet port in the first and second positions, and wherein the actuator is movable by the user to a third position, in which the valve allows flow between the second inlet port and the outlet port while blocking flow between the first inlet port and the outlet port.
 15. The invention of claim 14 wherein the first inlet port is connected to a fluid source, and wherein the second inlet port is connected to a suction source.
 16. The invention of claim 1,3 or 5 further comprising: a second inlet port included in the housing; a second valve carried by the housing and coupled between the second inlet port and the outlet port, the second valve comprising a manually controlled second actuator movable by the user between a third position, in which the second valve blocks flow between the second inlet port and the outlet port, and a fourth position, in which the second valve allows flow between the second inlet port and the outlet port.
 17. The invention of claim 16 wherein the first inlet port is connected to a liquid source, and wherein the second inlet port is connected to a suction source.
 18. A method for enhancing control efficiency of a medical endoscope, the method comprising: (a) providing a medical endoscope comprising an exterior surface and an irrigation port; (b) providing a modular endoscope valve assembly comprising: a housing comprising an inlet port, an outlet port, and a mounting surface; a valve carried by the housing and coupled between the inlet port and the outlet port, the valve comprising a manually-controlled actuator movable by a user between a first position, in which the valve blocks flow between the inlet port and the outlet port, and a second position, in which the valve allows flow between the inlet port and the outlet port; a pressure-sensitive adhesive carried by the mounting surface; (c) releasably securing the valve assembly to the exterior surface of the endoscope with the adhesive; (d) removably coupling the outlet port of the valve assembly to the irrigation port of the endoscope; and then (e)removing the valve assembly from the exterior surface of the endoscope after a surgical procedure.
 19. The method of claim 18 wherein the valve assembly of (b) further comprises a strap carried by the housing.
 20. The method of claim 19 further comprising: (f) releasably securing the valve assembly to the endoscope with the strap after (c) and before (e).
 21. A method for enhancing control efficiency of a medical endoscope, the method comprising: (a) providing a medical endoscope comprising an exterior surface and an irrigation port; (b) providing a modular endoscope valve assembly comprising: a housing comprising an inlet port, an outlet port, and a mounting surface; a valve carried by the housing and coupled between the inlet port and the outlet port, the valve comprising a manually-controlled actuator movable by a user between a first position, in which the valve blocks flow between the inlet port and the outlet port, and a second position, in which the valve allows flow between the inlet port and the outlet port; a strap carried by the housing; (c) releasably securing the valve assembly to the exterior surface of the endoscope with the strap; (d) removably coupling the outlet port of the valve assembly to the irrigation port of the endoscope; and then (e) removing the valve assembly from the exterior surface of the endoscope after a surgical procedure.
 22. A method for enhancing control efficiency of a medical endoscope, the method comprising: (a) providing a medical endoscope comprising an exterior surface and an irrigation port; (b) providing a modular endoscope valve assembly comprising: a housing comprising an inlet port, an outlet port, and a mounting surface; a valve carried by the housing and coupled between the inlet port and the outlet port, the valve comprising a manually-controlled actuator movable by a user between a first position, in which the valve blocks flow between the inlet port and the outlet port, and a second position, in which the valve allows flow between the inlet port and the outlet port; (c) releasably securing the valve assembly to the exterior surface of the endoscope; (d) removably coupling the outlet port of the valve assembly to the irrigation port of the endoscope; and then (e) removing the valve assembly from the exterior surface of the endoscope after a surgical procedure.
 23. The method of claim 22 wherein the valve assembly provided in (b) comprises a mechanical fastener, and wherein (c) comprises engaging the mechanical fastener with the exterior surface of the endoscope.
 24. The method of claim 23 wherein the mechanical fastener comprises a spring clip shaped to fit at least partially around the endoscope.
 25. The invention of claim 22, wherein the modular endoscope valve assembly comprises a pressure-sensitive adhesive carried by the mounting surface, and wherein (c) comprises releasably securing the valve assembly to the exterior surface of the endoscope with the adhesive.
 26. The invention of claim 22, wherein the modular endoscope valve assembly comprises a strap carried by the housing, and wherein (c) comprises releasably securing the valve assembly to the exterior surface of the endoscope with the strap.
 27. The invention of claim 22, wherein the modular endoscope valve assembly comprises a resilient element carried by the housing, and wherein (c) comprises releasably securing the valve assembly to the exterior surface of the endoscope with the resilient element.
 28. The method of claim 18, 21 or 22 wherein the valve assembly provided in (b) further comprises a latch coupled with the valve and operative to releasably hold the valve in a selected state in response to a control input by the user.
 29. The method of claim 28 wherein the latch is coupled to the actuator and operative to hold the valve in a state that allows flow between the inlet port and the outlet port in response to user manipulation of the actuator.
 30. The method of claim 18, 21 or 22, wherein the inlet port comprises a first inlet port, wherein the housing provided in (b) further comprises a second inlet port, wherein the valve blocks flow between the second inlet port and the outlet port in the first and second positions, and wherein the actuator is movable by the user to a third position, in which the valve allows flow between the second inlet port and the outlet port while blocking flow between the first inlet port and the outlet port.
 31. The method of claim 30 further comprising: (f) connecting the first inlet port to a liquid source prior to (e); and (g) connecting the second inlet port to a suction source prior to (e).
 32. The method of claim 18, 21 or 22 wherein the housing provided in (b) further comprises a second inlet port, and wherein the valve assembly provided in (b) further comprises a second valve carried by the housing and coupled between the second inlet port and the outlet port, the second valve comprising a manually controlled second actuator movable by the user between a third position, in which the second valve blocks flow between the second inlet port and the outlet port, and a fourth position, in which the second valve allows flow between the second inlet port and the outlet port.
 33. The method of claim 32 further comprising: (f) connecting the first-mentioned inlet port to a liquid source prior to (e); and (g) connecting the second inlet port to a suction source prior to (e).
 34. A modular endoscope valve assembly comprising: a housing comprising an inlet port, an outlet port, and a mounting surface shaped to mount on at least three locations on an endoscope; a valve carried by the housing and coupled between the inlet port and the outlet port, the valve comprising a manually-controlled actuator movable by a user between a first position, in which the valve blocks flow between the inlet port and the outlet port, and a second position, in which the valve allows flow between the inlet port and the outlet port; and a resilient element coupled with the housing and operative to releasably secure the housing to the endoscope.
 35. The invention of claim 34 further comprising a pressure-sensitive adhesive carried by the mounting surface and operative to releasably secure the housing to the endoscope.
 36. The invention of claim 34 further comprising a strap carried by the housing and operative to releasably secure the housing to the endoscope.
 37. The invention of claim 34, wherein the endoscope comprises a ureteroscope.
 38. The invention of claim 34 further comprising a latch coupled with the valve and operative to releasably hold the valve in a selected state in response to a control input by the user.
 39. The invention of claim 38, wherein the latch is coupled to the actuator and operative to hold the valve in a state that allows flow between the inlet port and the outlet port in response to user manipulation of the actuator.
 40. The invention of claim 38, wherein the inlet port comprises a first inlet port, wherein the housing further comprises a second inlet port, wherein the valve blocks flow between the second inlet port and the outlet port in the first and second positions, and wherein the actuator is movable by the user to a third position, in which the valve allows flow between second inlet port and the outlet port while blocking flow between the first inlet port and the outlet port.
 41. The invention of claim 40 wherein the first inlet port is connected to a fluid source, and wherein the second inlet port is connected to a suction source.
 42. The invention of claim 34 further comprising: a second inlet port included in the housing; a second valve carried by the housing and coupled between the second inlet port and the outlet port, the second valve comprising a manually controlled second actuator movable by the user between a third position, in which the second valve blocks flow between the second inlet port and the outlet port, and a fourth position, in which the second valve allows flow between the second inlet port and the outlet port.
 43. The invention of claim 42 wherein the first inlet port is connected to a liquid source, and wherein the second inlet port is connected to a suction source. 